Job Description

Billing Specialist I

LINES OF AUTHORITY: This position is supervised by the Billing Supervisor. Unless specifically designated, this position does not supervise any other personnel.

POSITION SUMMARY : This is an entry level position in the billing department. The person is responsible for posting all manual and electronic remittances from health plans and resolve denials for payment.

PRINCIPAL DUTIES/RESPONSIBILITIES:

1. Post all health plans remittances received through mail or electronic means through the Electronic Medical Record (EMR)

2. Work all denials for resubmission and payment.

3. Generates superbills for vendor transportation vouchers for billing purposes

4. Assist the Billing Specialists II and III as requested.

5. Provides customer service to internal and external customers and stakeholders.

6. Participates in the Performance Improvement Processes in the Clinic.

7. The employee must work well under pressure meeting multiple and sometimes conflicting deadlines.

8. The employee shall, at all times, demonstrate cooperative behavior with colleagues and supervisors.

9. Perform other duties, as assigned.

PRIMARY CONTACTS:

• Direct contact with clinical personnel and work groups.
• Daily contact with supervisor.

POSITION REQUISITES:

Qualifications and Experience

Required:

• High School Diploma or GED.
• One year medical billing experience.
• Current fingerprint card or the ability to obtain one clear of any restrictions upon hire.

Preferred:

• Word processing and spread sheet experience.

Skills/Abilities

Required:

• Computer keyboard.
• Ten-key touch.
• Basic computers, knowledge and familiar with window applications/environment.

WORKING CONDITIONS:

Physical Requirements

• Able to sit for extended periods of time.
• Frequent reaching and occasional kneeling.
• Able to key for extended periods.

Equipment Operation

• PC, phone, fax, AHCCCS Eligibility, calculator, shredder, copier, typewriter, postage scale.

Environmental Conditions

• Inside work environment.

ACCOMMODATION(S): Mohave Mental Health Clinic will provide reasonable accommodation for individuals with disabilities, unless it would cause undue hardship. We define reasonable accommodation as any change in the work environment or in the way a job is performed that enables a person with a disability to enjoy equal employment opportunities. We will make a good faith effort to list any special requirements in our job descriptions.

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